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Nov 11 2024
Digital Workspace

CHIME24: Encouraging a Culture of Change in Healthcare IT

Leaders at the 2024 CHIME Fall Forum discussed the need to embrace change thoughtfully but without hesitation to improve care.

Healthcare is traditionally thought of as an industry that lags decades behind others when it comes to technology adoption, but that perspective may soon be outdated.

In recent years, some healthcare organizations have dedicated more of their budgets to fostering operational transformation. A September 2024 Bain & Co. brief found that 75% of responding payers and providers have increased IT investments over the past year. Among the top priority areas are IT infrastructure and services, clinical workflow optimization, and data platforms and interoperability.

With that in mind, it's clear why “digital health mavericks” led the way for the 2024 CHIME Fall Forum this month in San Diego. A number of sessions highlighted the experiences of healthcare leaders who took bold steps to change processes and culture at their organizations.

One of those was Ozarks Healthcare Chief Medical Information Officer Dr. Priscilla Frase, who was named a 2024 HIMSS Changemaker in Health Award winner. She was recognized for her work in optimizing her organization’s electronic health records system, among many other accomplishments.

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As she discussed the importance of clinical and IT partnerships in transforming operations, Frase shared how she began working with EHRs. In the early 2000s, she was a resident working in an ICU at a hospital that was undergoing the switch from paper to electronic records. She was so frustrated by that experience that she wanted to avoid EHRs altogether, but ultimately, she accepted a role to train other physicians on an EHR.

“All of my background came from just being somebody who hated EHRs and wanting to make them better. In the years of training physicians, I found that I was actually good at picking out what the problems were with EHRs and coming up with ways to make things better,” she said.

At Ozarks Healthcare, Frase champions the need for data and analytics to improve the EHR experience for clinicians. She also highlighted the importance of industry collaboration. “This has never been just about me and my organization. It’s always been about, how do we make EHRs better for everyone who uses them?” Frase said.

EXPLORE: How does EHR optimization improve clinical workflows?

How Emory Healthcare Added Apple Devices into Its Ecosystem

Another session offered lessons on trying a new operating system and deploying new devices, especially after years of being averse to such change.

At Emory Healthcare, Vice President of Applications and Digital Experience Laura Fultz shared how providers had asked if they could bring their Apple devices to work and if they would be supported — they had been told “no” for a while.

But after a leadership change, coinciding with Epic’s work on Hyperspace for Mac, the timing was right to launch a new program deploying Apple devices, Fultz said. It also helped that the organization could make the financial case as well: CTO Scott Smiser added that the total cost of ownership over time would create savings.

“This was something we weren’t going to do to our clinicians, this was something we were going to do for them,” Fultz said.

The project came to fruition in the summer of 2023, and by the end of that year, Fultz and her team were ready to start a pilot.

She had no zero experience with MacBooks, but Smiser (with nearly 25 years of experience) let her test out a device. In less than a week, she was all in and ready for the project. She had her choice of either an iMac or a Mac mini in her office. To make her decision, she went to the team’s Apple innovation and testing lab, where users could “put hand on keyboard” and see which devices they wanted, Fultz said.

Inspired by the Apple Store’s Genius Bar, the team had its own set up that offered one-on-one deployment of new macOS devices. “We thought through the deployment plan: How are we going to get these devices into the hands of our users in a way that is really personalized?” Smiser said.

Many healthcare leaders might expect the deployment of a new OS and new devices to be daunting and labor-intensive, but Smiser said his team didn’t need to add any staff; instead, it focused on choosing the people it wanted to develop to learn these products in a meaningful way, starting with field service technicians who went through multiday boot camps.

Earlier this year, Smiser said, the team deployed Macs in a nursing unit, including devices on customized carts. He has received feedback from nurses that the Macs are easy on the eyes and have impressive battery life. In surveys, providers have responded favorably to the devices, particularly for ease of learning and use.

DIVE DEEPER: Northwell Health CIO Sophy Lu shares tips on change management.

Smiser also found that diversified endpoints have been useful for Emory Healthcare’s ecosystem, especially amid global IT outages.

“The disbelief here is, well, these are just consumer-based devices that are consumer products. But we’re showing that they can be used in a very meaningful way in a healthcare setting to take care of patients. And, again, they love using these devices,” he said.

Fultz stressed the importance of moving forward even in the face of challenges.

“Perfection did not get in the way of progress,” Fultz said. “We did find things that didn’t work. Epic worked really well, but we did find that some integration with other systems, we ran into some snags, but we had work-arounds. We were open and honest with our users, and we let them know that.”

Check out this page for our complete coverage of CHIME24. Follow us on the social platform X at @HealthTechMag and join the conversation at #CHIME24.

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